When something’s wrong and you can’t wait, walk in. Our four San Antonio ERs are open 24/7 with board-certified physicians, on-site imaging and labs, and private rooms — so you’re seen, scanned, and treated under one roof. Adult, pediatric, and senior emergencies welcome.
Always Open. Always Staffed.
1,400+ verified Google reviews across our San Antonio locations
Veteran-owned & board-certified physicians serving San Antonio
Texas-licensed freestanding ER & TAFEC member facility
Walk-ins welcome any hour — no appointment, ever
On-site imaging & full lab. Results in minutes.
On-site imaging and labs mean diagnosis and treatment happen in one visit — no transfers, no driving between buildings.
Freestanding means we don’t share rooms with elective surgery, maternity or outpatient clinics. Every resource in the building is for emergencies only.
Every doctor on shift at 1604 & Bitters is residency-trained in emergency medicine — including our owners, Drs. Chapa, Reyes and Wright. No rotations, no PAs running solo.
You're not shuttled to a sister hospital for imaging. The scanner is 40 feet from your treatment room, and a Prestige physician reads it — results typically in under 30 minutes.
Twelve enclosed exam rooms with doors — not fabric dividers. Real quiet, real privacy for conversations about your care.
Transparent No Surprises Act pricing posted on-site and online. Our intake will walk you through coverage & estimated costs during triage, not after discharge.
Neither. Prestige ER is a licensed freestanding emergency room — the same clinical standard as a hospital ER, but without admitted inpatients. We treat life-threatening and time-sensitive emergencies 24/7 with board-certified ER physicians. Urgent care is for minor issues; we handle the serious ones.
We accept Medicare, in-state Medicaid, and most major insurance plans, including Blue Cross Blue Shield, Tricare, Humana, Aetna, Cigna, and United Healthcare. We’re also a VA-Authorized Urgent Care Provider for veterans. If you don’t see your plan listed, our full insurance list is on our site, or call us before your visit and we’ll confirm.
Cost depends on your insurance and what’s needed during the visit. We accept Medicare, in-state Medicaid, and most major plans including Blue Cross Blue Shield, Tricare, Humana, Aetna, Cigna, and United. If you’re paying out of pocket, our self-pay pricing is posted online. We’ll review estimated costs with you before treatment.